How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $323.59 | Facility | None | $107.15 | $107.15 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $107.15 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $21.38 | $22.91 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $85.11 | $93.33 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $204.17 Typical High $457.09 | Professional | None (both parts) | $114.82 | $204.17 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $162.18 Typical High $407.38 | Professional | TC · Technical part | $89.13 | $162.18 | $407.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $776.25 | Facility | None | $190.55 | $316.23 | $776.25 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $131.83 | $138.04 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $1,348.96 | Facility | None | $309.03 | $389.05 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $89.13 | $173.78 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $17.78 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $138.04 | $239.88 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $363.08 Typical High $1,230.27 | Facility | None | $128.82 | $363.08 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $1,778.28 | Professional | None (both parts) | $134.90 | $257.04 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $446.68 | Professional | 26 · Professional part | $28.18 | $51.29 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $208.93 Typical High $1,621.81 | Professional | TC · Technical part | $104.71 | $208.93 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Facility | None | $1,258.93 | $1,258.93 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $125.89 | $194.98 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $83.18 | Professional | 26 · Professional part | $25.70 | $37.15 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $158.49 | $331.13 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $22.91 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $93.33 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $93.33 | $104.71 |
Where Missouri sits
The same service costs 5.2 times more in Alabama than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 23rd of 51
$209
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.